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Updated: Sep 14, 2025
Author Spotlight: Advancing Pathogen Detection and Disease Assessment in Real-Time Using M-ROSE
Published on: March 1, 2024
Using learner verification and transcreation to develop multicultural patient education materials for acute
Rebecca K Rudel1,2, Emma Powers1, Kirsten Austad2,3
1Section of Infectious Diseases, Department of Medicine, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine, Boston, USA.
Objective:
Patient demand often drives inappropriate antibiotic prescribing for acute respiratory tract infections (ARTI). This study aimed to develop novel culturally- and linguistically-tailored patient education material regarding appropriate ARTI care.
Methods:
This qualitative study used a four-phase approach to develop single-page English, Spanish, and Haitian Creole patient education materials for appropriate ARTI treatment designed for clinical use: 1) material development informed by pre-existing materials, 2) learner verification, 3) revision, and 4) transcreation. Patient and provider focus groups and interviews were conducted at three Massachusetts health systems. Transcripts were coded and analyzed using a framework informed by the Patient Education Materials Assessment Tool.
Results:
Twenty-six providers and 48 patients (27 English, 10 Spanish, 11 Haitian Creole speaking) participated. Participants suggested improving readability by replacing text blocks with bulleted lists and usability by providing self-care solutions. The transcreation process resulted in literal translations that were unclear to Spanish and Haitian Creole speakers, who provided culturally-appropriate suggestions.
Innovation:
Patient education materials are co-created with diverse patient and provider populations to create culturally-tailored materials, available in multiple languages, for ARTI treatment.
Conclusion:
Learner verification, revision, and transcreation can result in understandable and actionable materials for patients in multiple languages. Materials may help decrease demand for and rates of inappropriate antibiotic prescribing for ARTI.
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